Provider Demographics
NPI:1407974181
Name:ROSAL, CHRISTOPHER MCKAY
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MCKAY
Last Name:ROSAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7731 MACAW LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-3723
Mailing Address - Country:US
Mailing Address - Phone:858-357-3173
Mailing Address - Fax:619-287-4146
Practice Address - Street 1:6244 EL CAJON BLVD
Practice Address - Street 2:SUITE 15
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-3918
Practice Address - Country:US
Practice Address - Phone:619-287-8225
Practice Address - Fax:619-287-4146
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)